Tetrology of Fallot

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Q Autopsy finding  in a patient who dies of Tetrology of Fallot is a)  Brachiocephalic vein draining into the left renal vein b)  Inferior vena cava (IVC) draining to the superior mesenteric vein c)  Atrial Septal Defect (ASD) d) Decreased vascularity of the lung field Answer

order of anastomosis in lung transplant

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Q) Order of anastomosis in lung transplant is  a) Pulmonary artery   ——— Pulmonary vein ————- Bronchus b) Pulmonary vein   ———-  Bronchus —————-Artery c) Pulmonary vein———- Artery ———–Bronchus d) Bronchus—   Artery————- Vein Answer   Basic Users have access to the answer. Use the free register button on right sidebar.

Endocardial cushion defect

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Q) Endocardial cushion defects seen with: a) Mitral stenosis b) Pulmonary stenosis c) Mitral regurgitation d) Aortic regurgitation Answer for premium – Discuss what is Endocardial cushion defects Associated conditions  

TAPVD

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Q) Total anomalous pulmonary venous drainage (TAPVD) is associated with  a) Endocardial cushion defect b) Sinus Venosus ASD c) Defects in Fossa ovalis d) Completely separate entity Answer 

Aortic rupture

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Q) Most common site for traumatic aortic rupture is  a) Distal to the origin of left subclavian artery b) Point of entry of aorta above the diaphragm c) Root of aorta d) Point distal to Left carotid artery Answer  a) Distal to origin of subclavian artery Traumatic aortic rupture leads to sudden death after high impact automobile accident or fall from height. Aorta is relatively fixed distal to ligament arteriosum just distal to the origin of subclavian artery and this is the most common site of traumatic rupture especially partial rupture in which adventitia is intact. Specific clinical findings are  Asymmetry of BP in upper limbs or upper and lower limbs Widened pulse pressure Chest wall contusions Bailey page 355 http://www.msdmanuals.com/professional/injuries-poisoning/thoracic-trauma/aortic-disruption-traumatic

Atrial Septal Defect

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 In exams like DNB SS questions on ASD and VSD are common. Most cardiac surgery questions are here Q) Most common ASD is  a) Ostium Primum b) Ostium Secundum C) Sinus Venosus d) All are equal Answer  b Ostium Secundum   ASDs ■ Common defects Ostium secundum: fossa ovalis defect (approximately 70 per cent of ASDs) Ostium primum: atrioventricular septal defect (approx imately 20 per cent of ASDs) Sinus venosus defect: often associated with anomalous pulmonary venous drainage (approximately 10 per cent of ASDs) Patent foramen ovale: common in isolation, usually no left-to-right shunt (not strictly an ASD) Rarer defects Inferior vena cava defects: a low sinus venosus defect and may allow shunting of blood into the left atrium Coronary sinus septal defect: also known as unroofed coronary sinus with the left superior vena cava draining to the left atrium as part of a more complex lesion  

Sign of 3

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Q) Sign of 3 in Xray with rib notching is seen in  a) Coarctation of Aorta b) Tetrology of Fallot c) Total Anamolous Pulmonary venous System d) Severe MS Answer for Premium